Barbara Kokensparger

Experience

• 

  Fulton County Health Center

  May 2005 - Nov 2007

  Medical Surgical Nurse

  • Working on Pediatric/Surgical Floor, and General Med/Surg• Teaching Patients and families and providing quality care• Responsibilities include notifying Physicians of any new developments, assessments, medications, charting, and initiation of care plans.• Direct supervision of LPNS, Unit Clerks and PCT.PALS CERTIFIED TELEMTRY CERTIFIED

• 

  Toledo Childrens Hospital

  Sept 2007 - Dec 2009

  Pediatric Registered Nurse

  • Working as a Pediatric nurse on medical/surgical floor• Teaching Patients and families• Responsibilities include notifying Physicians of any new or changing pt. conditions, assessments, medications. Charting.• Direct supervision of LPNS and Unit Clerks• PALS CERTIFIED• BLS CERTIFIED• TELEMTRY CERTIFIED

• 

  Promedica Call Center

  Dec 2009 - Mar 2012

  Triage Nurse

  • Facilitate outlaying hospital transfers, including finding an accepting Physician, coordinate Promedica Life Flight/transportation, and bed booking.• Answer /Triage after hour’s callers for Promedica Physicians Groups, North West Ohio Cardiology Center, Promedica Hospice and Homecare as well as many others. • Train new employees on our Barton Schmitt Telephone Triage Protocols• Charge RN• Co-Chair Employee Governance Council• BLS CERTIFIED• Charge RN• Co-Chair Employee Governance Council• BLS CERTIFIED Show less

• 

  Paramount Health Care

  Mar 2012 - Apr 2022

  Authorize specific outpatient services and out-of-plan services to ensure appropriate care and proper use of Plan's provider panel and ancillary services. Precertify/certify specific services utilizing defined criteria to ensure appropriate medical care in the most cost-effective setting. Utilize nursing education and experience to evaluate the appropriateness of the type and number of services and specialist medical management activities required. Identify medically complex cases or potentially high cost cases and refer to Case Management in a timely manner to ensure that the member receives appropriate medical care in the most cost-effective setting. Confer with physician offices, ancillary providers, Plan Case Managers and Plan Medical Director/Associate Medical Directors on pertinent case questions or situations as appropriate. Communicate with all providers and their staffs regarding reviews.Paramount applications, including InterQual, Microsoft Word, Outlook,TrueCare Amisys, Macess, Microsoft Excel, and Right Fax Show less

  • RN Appeals Coordinator

    Feb 2022 - Apr 2022

  • Utilization Review Nurse - Remote

    Mar 2012 - Feb 2022
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  Optum

  Apr 2022 - now

  Post Clinical Claim Review -RN